- Excellent Benefits; including an Amazing retirement package, Paid Time Off plans, Affordable Medical Insurance, FREE Life Insurance, FREE Long-Term Disability, FREE Parking and much more
- Team Oriented Environment
- Salary Rate: $62,400.00 actual offer will be commensurate upon related experience & education
- Certifications:
- Certified Professional Coder (CPC) required.
- Certified Professional Medical Auditor (CPMA), Certified Medical Office Manager (CMOM), Certified Professional Biller (CPB), preferred.
- Certified Documentation Expert Outpatient (CDEO) or Certified Risk Adjustment Coder (CRC) a plus.
- Bachelor's Degree plus a minimum of five (5) years of coding experience in private physician and/or FQHC organization to include three (3) years coding supervisory/management progressive leadership experience.
- Proven ability in coding compliance program development, deployment, and oversight.
- Knowledge of coding/billing regulatory requirements.
- Excellent interpersonal, presentation and written communication skills.
- Bilingual in Spanish preferred.
- NextGen EPM, EHR, EDR experience is preferred.
- Strong leader who intentionally invests in the development of others and identifies/closes knowledge gaps.
- Capable & competent time management and multi-tasking acumen.
- Understanding of medical terminology and coding & billing compliance laws, regulations, policies, and guidelines.
- Customer experience-oriented professional with demonstrated performance history and commitment.
- Advanced skills Microsoft suite of products; Outlook, MS Office (MS Excel & MS Word) – SharePoint experience a plus.
- Must be compliant with GCHD Immunizations policy and ICS training requirements.
- Must pass criminal background check and drug/alcohol screening.
- Must be willing and able to work evening and weekend hours, as necessary.
- Must possess or ability to readily obtain a valid driver's license issued by the State of Texas for the type of vehicle or equipment operated.
- Department of Motor Vehicle check may be required, if applicable.
- Direct supervision of RCM Supervisor.
- Provides direction and manages the day-to-day functions within the RCM team which include medical, dental, and behavioral health encounters for uninsured as well as claims with all payors including Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies.
- Manages staffing plans and work assignments to achieve and maintain established productivity thresholds.
- Establishes and monitors the performance aligned with billing and coding to support accurate patient information, compliant coding aligned with billing regulations, building strong front-end edits to avoid corrections and re-work.
- Manages and monitors daily work activities, NextGen tasks, worklists and evaluates, trains, and motivates the performance of RCM staff.
- Promotes recruitment, retention and succession planning of RCM staff with a deliberate focus on educating and training, acting as a professional subject matter expert and mentor.
- Proactively develops, updates, and enforces RCM policies & procedures, conducts trend analysis to identify patterns and variations – bringing solutions to bare.
- Delivers comprehensive reporting to The Board, leadership, providers, and other stakeholders that communicates relevant trends, KPIs, and analytical insight into performance.
- Assists RCM Director in departmental budget and identifies and recommends opportunities to decrease cost and improve services and experience for patients and other stakeholders.
- Stays up to date with current technology, coding updates & opportunities, billing, payer requirements and federal and state regulations related to FQHC billing, coding, and collections.
- Manages, trains, and educates staff as it pertains to payor requirements and back-end denial denials; reviewing, coordinating, and monitoring the denial management and appeals process.
- Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports organizational strategy and goals; serving as preceptor, mentor, and resource for less experienced staff.
- Manages staff and helps staff develop performance, training goals and objectives. Evaluates performance and recommends merit increases, promotions, and disciplinary actions to Human Resource Officer.
- Analyzes the cost benefit of programs. Synchronize processes, systems, policies and workflows across Registration, Prior Authorization, Coding, Accounts Receivable and Coding & Billing for best throughput, best practices, and efficiency.
- Communicates with cross-functional, internal & external teams to identify & resolve billing and/or payment issues.
- Oversees incoming calls, portal inquiries, askRCM, NextGen tasks, emails and other correspondence related to patient accounts by deploying active listening. Answers patient questions on patient responsible portions, co-pays, deductibles, write-offs, etc.
- Maintains patient confidentiality and protect GCHD/CHW operations by keeping patient information confidential.
- Prepares and ensures accuracy of all reports to management, consultants, payors, and other 3rd parties, as appropriate.
- Leads by example, serves as a key contact and supports enterprise-wide projects and initiatives that relate to strategic priorities, health care legislation and compliance, systems redesign, integrations, revenue optimization, and cost reduction.
- Acts as a back-up to other RCM team members and actively initiates and leads RCM projects & blitzes.
- Attends all staff in-services, provider meetings, workshops, and training, leads as appropriate.
- Exercises independent judgment based on CHW Policy and compliant billing & coding best practice.
- Performs other duties as assigned.
-
Billing Coordinator
3 weeks ago
Waste Industries Texas City, United StatesThis position is responsible for ensuring that all customers are billed for services and the timeliness & accuracy of charges on customer bills. The Billing Coordinator will serve as a liaison between the accounting systems, Branch Locations, Collections, and Data Entry/Data Inte ...
-
Billing Coordinator
4 days ago
Waste Industries USA Texas City, United StatesThis position is responsible for ensuring that all customers are billed for services and the timeliness & accuracy of charges on customer bills. The Billing Coordinator will serve as a liaison between the accounting systems, Branch Locations, Collections, and Data Entry/Data Inte ...
-
AS400 App Support Lead
23 hours ago
eTeam Texas City, United StatesAS400 series platform · AS400 RPG, AS400 CL · DB2 400 · Manage AS400 Batch operations · Administration of AS400 IFS (used extensively for distribution of reports and extracts) · Read and write AS400 CL, A400 RPG · AS400 Series database management · Understanding of Hospital billi ...
-
SAP BTP Portal Lead
1 week ago
eTeam Texas City, United StatesJOB Description:Should have excellent communication skills, Leadership Skills, and be able to communication with Leadership teamExperience with the new SAP BTP platforms and its Portal capabilities5 years of experience with building Portals sites using the different Portal Servic ...
-
Senior Account Consultant, Retina
2 days ago
BioSpace, Inc. Texas City, United StatesJob Details · Company Description · AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key t ...
-
Technical Lead
1 day ago
HCL Technologies Texas City, United StatesJob Description (Posting). · New Billing · Opportunity · Exclusive to HCL · ASM · NON TM · 5+ years project management experience in agile environments. · Usage and experience with Azure DevOps, VSTS, Jira, Aha or similar tool to plan and maintain agile workflows and work. ...
-
CHW Finance Manager
52 minutes ago
Galveston County Health District Texas City, United StatesJob Description · Job DescriptionSalary: Salary Rate: Based on experience · Coastal Health & Wellness is seeking a Finance Manager · The CHW Financial Manager performs administrative and advanced professional accounting in conjunction with District Finance. Monitors and assists ...
-
Variable Cost Accountant
6 days ago
Ineos Group Ltd Texas City, United StatesExcited to grow your career? · We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you thing the open position you see is right for you, we encourage you to apply ...
-
Chief Financial Officer
3 days ago
Galveston County Health District Texas City, United StatesGalveston County Health District is seeking a Chief Financial Officer · This position is responsible for budgeting, planning, implementing, managing, and controlling all financial and business-related activities including the development of strategies to achieve financial goals a ...
-
Physician - Surgeon
1 week ago
Pediatrix Medical Group Texas City, United StatesBased on 40hrs/wk. Shift details decided in interview, 08:00:00-16:00:00, · SEEKING PEDIATRIC SURGEONfor Growing Practice in HoustonWe are seeking an experienced and/or newly graduating pediatric surgeon to join our growing pediatric surgery practice covering the Houston, TX met ...
-
Personal Lines Account Manager
3 weeks ago
Texas First Bank . Insurance Texas City, United StatesJob Description · Job DescriptionMake applying EASY TFIHOUSTON to and start your resume · Join a great team and workplace Texas First Insurance has served Texans since 1925. It is a community-based independent agency with deep roots and a solid reputation in the industry. Our mis ...
-
Physician - Otolaryngologist
1 week ago
Pediatrix Medical Group Texas City, United StatesBased on 40hrs/wk. Shift details decided in interview, 08:00:00-16:00:00, · Pediatric Otolaryngologist opportunity at a well-respected, expanding ENT practiceGenerous compensation packageIf you re a fellowship-trained experienced pediatric ENT interested in a growing practice, w ...
-
Speech-Language Pathology Assistant
1 week ago
Dickinson ISD Texas City, United StatesPosition: Speech-Language Pathology Assistant · Department: Special Programs · Wage/Hour Status Exempt · Immediate Supervisor(s): Supervising SLP and Executive Director of Special Programs · Pay Grade: Per Compensation Manual · Days Employed: Per Compensation Manual · POSIT ...
-
CD Specialist
2 weeks ago
HealthMark Group Texas City, United StatesHealthMark Group is a leader in health information management and technology focusing on serving the health information management needs of physician practices and hospitals throughout the nation. HealthMark Group's innovative technology and superior customer service enable clien ...
-
Benefits Specialist
3 weeks ago
Galveston County Health District Texas City, United StatesJob Description · Job DescriptionSalary: Salary rate: $50, $58,000.00 · Galveston County Health District is seeking a Benefits Specialist · This position is responsible for the administration of all employee benefits, including supplemental and retirement. Ensures that reconcil ...
-
Sales Associate
1 week ago
Premier Rental Purchase Texas City, United StatesGeneral Purpose: · Add to the computer all payments received, such as payments received on delivery, mail payments, and customers coming into the store. Responsible for cash drawer. Handle customer inquiries, take customer orders, and phone their references for verification. Acc ...
-
Institutional Relations Officer
1 day ago
University Studies Abroad Consortium Texas City, United StatesUSAC is a non-profit, university-affiliated study abroad organization headquartered on the campus of the University of Nevada, Reno. Since 1982, USAC has provided opportunities for students to gain the knowledge, skills, and attitudes necessary to succeed in the global society of ...
-
Dental Office Assistant
2 days ago
American Dental Partners Texas City, United StatesJob Details · Req ID: 91950 · Supported Practice: Family Dental on Louetta · Category: Business Assistant · Location: 8678 Louetta Rd, Ste A, Spring, TX 77379 · Position Summary: · Part-Time Business Assistant · Family Dental on Louetta is looking for a Part-Time Front Off ...
-
EMC Insurance Texas City, United StatesAt EMC, you'll put your skills to good use as an important member of our team. You can count on gaining valuable experience while contributing to the company's success. EMC strives to hire and retain the best people by engaging, developing and rewarding employees. · **This posit ...
-
Rose International Texas City, United StatesJob Description · **Only those lawfully authorized to work in the designated country associated with the position will be considered.** · **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs ...
CHW Revenue Cycle Management Billing - Texas City, United States - Galveston County Health District
Description
Job Description
Job DescriptionSalary: $62,400.00 actual offer will be commensurate upon related experience & educationCoastal Health & Wellness is Galveston County's Community Health Center, with clinics in Texas City and Galveston. We also service TCISD students and employees. First established in 1970 and then called Galveston County Coordinated Community Clinics (4C's), we provide high quality healthcare to all - offering primary care, prenatal, dental, and behavioral health counseling services.
RCM provides task-based coding, billing, and collection support to CHW and various Galveston County Health District (GCHD) partners. This includes standard, highly reliable, team-oriented, daily work with payors including Medicare, Medicaid, Medicaid Managed Care, Commercial Insurance as well as County Indigent and Self-pay patients in NextGen EPM/EHR/EDR.
The CHW Revenue Cycle Management Billing & Coding Manager will have financial and operational accountability over CHW's revenue capture system, including but not limited to, claims, coding, prior authorization, verification of benefits, accounts receivable, and all other revenue cycle operations. This individual will provide leadership, administration, supervision, organization, planning and direction over all activities of the Revenue Cycle to ensure accomplishment of the organization's objectives leading CHW medical, dental, and behavioral health billing and coding functions for all outpatient professional services to ensure its compliance, accuracy, and timely submission for payment. Additionally, they are accountable for the planning, development, deployment and maintenance of a highly reliable coding audit and education program via coaching of staff, physicians, nurses, and other departments. This leader serves as the principal liaison with The Board, providers, executive team, and managers related to day-to-day medical, dental and behavioral health RCM activities. The CHW RCM team is responsible for compliant, comprehensive, and critical work in areas including but not limited to medical, dental and/or behavioral health pre-authorization, eligibility & benefits, coding, claims submission, A/R follow-up, payment posting & reconciliation, denial management and customer service.
We can offer you:
We want you to join our team of professionals If you meet the criteria listed below, please apply.
Required:
An equivalent combination of education and work experience which appropriately demonstrates the knowledge, skills and abilities to perform the above described essential functions will be considered when hiring for this role.
Traditional Duties:
No Phone Calls Please
ADA/EEO/DFWP
Our Mission: Protecting and Promoting the One Health of Galveston County